535 https://e-kcj.org
Thank you for the so important comment.
Unfortunately, the end-of-therapy fluorodeoxyglucose (FDG) positron emission tomography (PET)/computed tomography (CT) image was not obtained after proper protocol to inhibit the physiologic uptake of the myocardium, as the patient was mistakenly considered as routine oncology case. From the fact that the interim FDG PET/CT was negative and that the mediastinal FDG uptake was resolved, we considered the remnant uptake of the heart on end-of-therapy FDG PET/CT to be physiologic. We regret that we did not prepare the patient with the cardiac protocol of low carbohydrate diet and longer fasting time. Subsequent follow-up studies over a year and half have demonstrated no evidence of tumor recurrence.
But the patient has been completely in normal life, and transthoracic echocardiogram, and electrocardiogram (ECG), 24 hours ECG monitoring showed the same as for 3–4 year. If we have another chance to check up FDG PET/CT, then we will do cardiac preparation.
Korean Circ J. 2020 Jun;50(6):535 https://doi.org/10.4070/kcj.2020.1011 pISSN 1738-5520·eISSN 1738-5555
Letter to the Editor
Received: Feb 28, 2020 Accepted: Mar 16, 2020 Correspondence to Yong-Seog Oh, MD, PhD
Division of Cardiology, Department of Internal Medicine, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, 222, Banpo-daero, Seocho-gu, Seoul 06591, Korea.
E-mail: [email protected]
Copyright © 2020. The Korean Society of Cardiology
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (https://
creativecommons.org/licenses/by-nc/4.0) which permits unrestricted noncommercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
ORCID iDs Sunhwa Kim
https://orcid.org/0000-0003-3109-9210 Yoo Ri Kim
https://orcid.org/0000-0001-7351-1299 Young Choi
https://orcid.org/0000-0003-3900-1943 Sung-Hwan Kim
https://orcid.org/0000-0001-6805-0416 Yong-Seog Oh
https://orcid.org/0000-0003-3567-6505 Conflict of Interest
The authors have no financial conflicts of interest.
Author Contributions
Project administration: Oh YS; Supervision:
Kim SH, Choi Y; Writing - original draft: Kim SH;
Writing - review & editing: Kim YR.
Sunhwa Kim , MD 1 , Yoo Ri Kim , MD, PhD 2 , Young Choi , MD 1 , Sung-Hwan Kim , MD, PhD 1 , and Yong-Seog Oh , MD, PhD 1
1
Division of Cardiology, Department of Internal Medicine, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea
2
Division of Cardiology, Department of Internal Medicine, Dongguk University Ilsan Hospital, Goyang, Korea
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